报告经手术病理证实的46例第四脑室肿瘤手术治疗及随访结果,早期主要为颅内高压症,后期出现小脑征,强迫头位,颈硬等。Conray脑室造影显示导水管及第四脑室改变。全部经手术治疗,随访37例,存活27例中23例能自理生活或劳动。指出重视颅内高压症和及时脑室造影可能早期确诊,认为全切除的疗效较理想,并提出手术注意事项。 Surgical treatment of 46 cases of the fourth ventricle tumor confirmed by surgery and follow-up results reported early, mainly for intracranial hypertension, cerebellar signs later, forced head position, neck stiffness and so on. Conray venography showed the aqueduct and the fourth ventricle changed. All by surgery, follow-up in 37 cases, 27 cases of survival in 23 cases can take care of themselves or work. Point out that attention to intracranial hypertension and timely ventricular angiography may be early diagnosis, that the effect of total resection is more satisfactory and proposed surgical considerations.